CMS Data

Showing 1 to 20 of 48 results.
  1. SEER-Medicare Linked Data

    The SEER-Medicare data reflect the linkage of two large population-based sources of data that provide detailed information about Medicare beneficiaries with cancer. The data come from the Surveillance, Epidemiology and End Results (SEER) program of cancer ...

  2. Healthcare Effectiveness Data and Information Set RIF

    The Healthcare Effectiveness Data and Information Set (HEDIS) is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service. Please read the KnowledgeBase article on this page to ...

  3. Carrier RIF

    The Carrier file (also known as the Physician/Supplier Part B claims file) contains final action fee-for-service claims submitted on a CMS-1500 claim form. Most of the claims are from non-institutional providers, such as physicians, physician assistants, ...

  4. Durable Medical Equipment RIF

    The Durable Medical Equipment (DME) file contains final action, fee-for-service claims submitted by Durable Medical Equipment suppliers. This file includes: diagnosis, (ICD-9 diagnosis), services provided (CMS Common Procedure Coding System (HCPCS) codes) ...

  5. Home Health Agency RIF

    The Home Health Agency (HHA) file contains final action, fee-for-service claims submitted by HHA providers. This file includes: the number of visits, type of visit (skilled-nursing care, home health aides, physical therapy, speech therapy, occupational ...

  6. Hospice RIF

    The Hospice file contains final action claims submitted by Hospice providers. Once a beneficiary elects Hospice, all Hospice related claims will be found in this file, regardless if the beneficiary is in Medicare fee-for-service or in a Medicare managed ...

  7. Inpatient Rehab Facility- Patient Assessment Instrument

    The Medicare Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) is used to gather data to determine the payment for each Medicare Part A fee-for-service patient admitted to an inpatient rehabilitation unit or hospital. IRF-PAI data ...

  8. Vital Status File with Name and Address

    The Vital Status File with Name and Address contains demographic information about each beneficiary ever entitled to Medicare. This file includes: the beneficiary unique identifier mailing contact address date of birth date of death sex, race, and age ...

  9. UPIN Member File

    The UPIN Member File provides information about physicians who are members of a group practice. The file provides information about the group practice and the individual physicians that are members of the group. Short Name:  UPIN Member Category:  ...

  10. MPIER File

    The Medicare Physician Identification and Eligibility Records (MPIER) file contains one record for each practice setting for a physician. Thus, a physician will have multiple records in this file depending on the number of practice locations, specialties ...

  11. Part D Drug Characteristics File

    The drug characteristics file is a supplemental set of variables that are appended to the Part D Event data.   The drug characteristics file contains four variables from the First DataBank® (FDB) reference file. The variables include: brand name, generic ...

  12. Part D Prescriber Characteristics File

    The Prescriber Characteristics file contains information about the practitioner who prescribed the drug.  Prescriber identifiers are encrypted in the Part D data, so researchers must link this file with the Prescriber id in order to obtain more ...

  13. Health Outcomes Survey RIF

    HOS is an outcomes measurement tool used for Medicare Advantage plans. The goal of the Medicare HOS program is to gather valid and reliable health status data in Medicare managed care plans for use in quality improvement activities, plan accountability, ...

  14. Long Term Care Minimum Data Set 2.0

    The Long Term Care Minimum Data Set (MDS) is a standardized, primary screening and assessment tool of health status which forms the foundation of the comprehensive assessment for all residents (regardless of payer) of long-term care facilities certified ...

  15. Long Term Care Minimum Data Set 3.0

    The Long Term Care Minimum Data Set (MDS) is a standardized, primary screening and assessment tool of health status which forms the foundation of the comprehensive assessment for all residents (regardless of payer) of long-term care facilities certified ...

  16. Swing-Bed Assessments 2.0

    Swing-Bed providers are hospitals that can use its beds, as needed, to provide either acute or SNF care. A provider must complete an assessments for patients that are in a swing bed in order to receive payment.  The Swing-Bed MDS is a subset of the MDS ...

  17. Swing-Bed Assessments 3.0

    Swing-Bed providers are hospitals that can use their beds, as needed, to provide either acute or SNF care. A provider must complete an assessments for patients that are in a swing bed in order to receive payment.  The Swing-Bed MDS is a subset of the MDS ...

  18. Home Health Outcome and Assessment Information Set

    The Home Health Outcome and Assessment Information Set (OASIS) contains data items that were developed for measuring patient outcomes for the purpose of performance improvement in home health care. OASIS assessments are collected at specified time points ...

  19. Master Beneficiary Summary File

    The Master Beneficiary Summary File includes several segments. Base (A/B/D) segment: This segment includes beneficiary enrollment information, such as the beneficiary unique identifier, state and county codes, zipcode, date of birth, date of death, sex, ...

  20. Beneficiary Summary File

    The Beneficiary Summary File includes the beneficiary unique identifier, state and county codes, zipcode, date of birth, date of death, sex, race, age, monthly entitlement indicators (A/B/C/D), reasons for entitlement, and monthly managed care indicators ...

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